Nursing Elites

1. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

2. The small intestine is where most of the chemical digestion and nutrient absorption occur. What is the finger-like projection in the small intestine that increases its surface area for absorption?

• A. Rugae
• B. Villi
• C. Microvilli
• D. All of the above

Correct answer: C

Rationale: Microvilli are the finger-like projections in the small intestine that increase its surface area for absorption. Villi are also present in the small intestine and help increase the surface area for absorption. However, microvilli are smaller structures found on the surface of villi, further increasing the surface area available for nutrient absorption. Rugae are folds in the stomach that allow for expansion when food is consumed and are not found in the small intestine. Therefore, the correct answer is C) Microvilli. Villi and microvilli are specific to the small intestine, playing vital roles in nutrient absorption, while rugae are specific to the stomach's structure and function, serving a different purpose than increasing surface area for absorption.

3. What is the ethical concern surrounding genetic engineering?

• A. Risk of introducing new diseases
• B. Potential for misuse and discrimination
• C. Unforeseen consequences on ecosystems
• D. All of the above

Correct answer: D

Rationale: A) Risk of introducing new diseases: Genetic engineering involves manipulating the genetic material of organisms, which can potentially lead to the creation of new diseases or the spread of existing ones in unintended ways. This risk raises ethical concerns about the potential harm to human health and the environment. B) Potential for misuse and discrimination: Genetic engineering technologies can be misused for purposes such as creating biological weapons or enhancing certain traits in individuals, leading to discrimination based on genetic makeup. This raises ethical concerns about fairness, justice, and the potential for societal harm. C) Unforeseen consequences on ecosystems: Genetic engineering can have unintended consequences on ecosystems, such as disrupting natural balances or harming biodiversity. These unforeseen impacts raise ethical concerns about the responsibility of scientists and policymakers to consider the long-term effects of genetic modifications on the environment. Therefore, the correct answer is D because all the options present valid ethical concerns associated with genetic engineering.

4. Which of the following statements accurately characterizes the relationship between genes and chromosomes?

• A. Each gene contains multiple chromosomes.
• B. Each chromosome contains multiple genes.
• C. Genes and chromosomes are two different things referring to the same entity.
• D. Genes and chromosomes are not interchangeable terms and do not always occur in equal numbers.

Correct answer: B

Rationale: The correct answer is B: Each chromosome contains multiple genes. Genes, which are segments of DNA, are located on chromosomes and carry hereditary information. Chromosomes contain many genes, indicating that genes are part of the structure of chromosomes. Choice A is incorrect because genes do not contain chromosomes; rather, they are located on chromosomes. Choice C is incorrect as genes and chromosomes are distinct entities with different functions. Choice D is incorrect because genes and chromosomes are related but not in equal numbers; chromosomes contain multiple genes, but the number of genes can vary between chromosomes.

5. What happens to the diaphragm during inspiration?

• A. It moves upward
• B. It moves downward
• C. It expands
• D. It contracts and moves downward

Correct answer: D

Rationale: During inspiration, the diaphragm contracts and moves downward. This action increases the volume of the thoracic cavity, which lowers the air pressure inside the lungs, allowing air to flow in. The downward movement and contraction of the diaphragm create the necessary space for the lungs to expand and fill with air. Choice A, 'It moves upward,' is incorrect as the diaphragm moves downward. Choice B, 'It moves downward,' is partially correct but misses the contraction aspect. Choice C, 'It expands,' is incorrect as the diaphragm itself does not expand during inspiration. Therefore, choice D, 'It contracts and moves downward,' is the most accurate description of the diaphragm's action during inspiration.

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